MRS. HEREDESHEE LATRICE TAYLOR FNP
NPI 1669826657
Nurse Practitioner - Family in Matteson, IL

Active since April 16, 2016PECOS EnrolledAccepts Medicare Assignment
3201 HOLDEN CIR, MATTESON, IL 60443(773) 531-9794 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Heredeshee Latrice Taylor Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HEREDESHEE LATRICE TAYLOR FNP (NPI 1669826657) is an individual family provider in Matteson, Illinois, licensed in Illinois (209014223) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669826657
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. HEREDESHEE LATRICE TAYLORCredential: FNP
Location Address3201 HOLDEN CIRMatteson, IL 60443
Mailing Address3201 Holden CirMatteson, IL 60443-4435 · (773) 531-9794
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 16, 2016
Last NPPES UpdateJune 5, 2018
NPI 1669826657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209014223
3201 HOLDEN CIR, Matteson, IL 60443

Other Names 1

Former Name (1)Ms. Heredeshee Latrice Wilson Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Heredeshee Latrice Taylor Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315229523
PECOS Enrollment IDI20250618000455
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60443 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heredeshee Taylor's NPI number?

The NPI number for Heredeshee Taylor is 1669826657. It was assigned to this individual provider in the NPPES registry on April 16, 2016. The provider is also known as Ms. Heredeshee Latrice Wilson Fnp.

Where is Heredeshee Taylor located?

Heredeshee Taylor practices at 3201 Holden Cir, Matteson, IL 60443. The listed phone number is (773) 531-9794.

What is Heredeshee Taylor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heredeshee Taylor enrolled in Medicare?

Yes. Heredeshee Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Heredeshee Taylor was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.